Maternal Newborn Nursing Test Maternal Complications 3

Question 1

A patient is 3 hours postpartum and her uterus is displaced to the right of the umbilicus and feels boggy. What is the likely cause and appropriate intervention?

Accepted Answer

Uterine atony from a distended bladder; assist the patient to void

Answer

A laterally displaced boggy uterus postpartum is a classic sign of bladder distension displacing the uterus; voiding allows the uterus to contract properly to the midline.

Question 2

A patient at 32 weeks gestation is admitted with preterm premature rupture of membranes (PPROM). She is GBS-negative. What is the priority nursing intervention?

Accepted Answer

Initiate fetal monitoring and assess for signs of infection and cord prolapse

Answer

With PPROM, priority nursing care involves continuous fetal monitoring for non-reassuring patterns including cord prolapse, along with assessment for chorioamnionitis (infection).

Question 3

A patient is diagnosed with a postpartum deep vein thrombosis (DVT) of the left leg. Which assessment finding is consistent with this diagnosis?

Accepted Answer

Unilateral leg warmth, redness, edema, and pain with dorsiflexion

Answer

DVT presents with unilateral signs because a thrombus forms in one vessel; warmth, erythema, edema, and calf pain with dorsiflexion (Homan's sign) are classic but not always reliable indicators.

Question 4

A primigravida at 36 weeks has a blood pressure of 148/96 mmHg on two readings 4 hours apart. She denies headache or visual changes and has trace proteinuria. What condition does this represent?

Accepted Answer

Gestational hypertension

Answer

Gestational hypertension is defined as BP ≥140/90 mmHg after 20 weeks without the proteinuria or end-organ involvement required to diagnose preeclampsia.

Question 5

Which medication is CONTRAINDICATED in a breastfeeding patient with postpartum depression?

Accepted Answer

Lithium carbonate at high doses

Answer

Lithium is excreted in breast milk in significant concentrations and can cause lithium toxicity in the nursing infant, including hypotonia, bradycardia, and cyanosis.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternal Complications 3